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The only difference appears to be how rapidly restoration of B-12 levels takes place so when it comes to which is better, it all depends on the severity and context of the deficiency and the patient's circumstances

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For muscle preservation: Ipamorelin (200-300mcg before bed) for growth hormone support

Not only do we halt the growth of fat cells and restore the bodys ability to burn fat, but we also allow for that unneeded fat to be broken down (via increased production of the Sirt1 enzyme) and be excreted from the body